Overview

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There are many reasons women consider breast augmentation surgery, a cosmetic procedure that uses silicone or saline implants to increase the size and improve the shape of the breasts. Some women desire a fuller breast size to look more attractive in clothing or swimwear, while others wish to balance their body proportions, create symmetry, and restore lost volume due to pregnancy and weight loss. Board-certified Cherry Hill plastic surgeon, Dr. Evan Sorokin, specializes in breast augmentation surgery and is known for blending surgeon skill and advanced technology to create outstanding results. He has spent years mastering his craft and helping women achieve shapelier breasts with this popular cosmetic surgery. Dr. Sorokin is proud to offer women the chance to “try on” their results with the Vectra® XT Patient Imaging System, which uses computerized technology to simulate different sized implants on a 3D photo of the patient’s body.

Augmentation Options

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Once the decision to move forward with breast augmentation has been made, there are many decisions to make so that the procedure can be personalized for you. The final results will be based on your individual body, aesthetic goals and lifestyle. Patients have a variety of breast implant options to consider, including the type of implant material, the texture of the outer covering, the profile or size, the shape, positioning, and the incision site. Dr. Sorokin believes it's important to achieve a natural look that integrates the implant with the patient’s overall body shape, so he custom-tailors each procedure to achieve this goal.

Breast Augmentation Reviews

"I am beyond happy that I went to Dr. Sorokin for my Breast Augmentation. All of my experiences with him and his staff have been wonderful. I was seen within less than 5 minutes of arriving each time for an appointment. I am completely happy with my results as he really helped me choose a size that would work right for me and my expectations. I have had no issues at all after my surgery. Choosing the right doctor is the MOST important thing when going in for any surgery. Many girls I spoke to who had the same operation had a much more difficult healing process, complications, or were unhappy with their results - things I did not have to deal with at all. Following my BA I received a Get Well card from him and the entire office staff and a box of chocolate covered pretzels which was really a nice touch. I would recommend Dr. S to anyone looking for the services he provides!"

- N. / Vitals / Jul 11, 2013

"You should have no doubt when choosing Dr. Sorokin because he is the absolute best. He is a premier surgeon and you will be more than satisfied with your results. As anyone would do, I did a lot of research prior to selecting Dr. Sorokin as my surgeon for breast implants. Many people have suggested to have 2-3 consultations, but I knew after the first visit with Dr. Sorokin, that Delaware Valley Plastic Surgery would be my choice. If you are considering Dr. Sorokin for surgery, rest easy and make your appointment. You won't be disappointed."

- Anonymous / RateMDs / Jan 13, 2013

"I went to Dr. Sorokin for a breast augmentation consultation and instantly knew I wanted him for the surgery. He was knowledgable and friendly. He is nothing if not professional and answered calls and emails rapidly. I never felt he was pressuring me...just giving facts. The surgery went fantastic (even better than I'd hoped). The staff all treated me like an old friend. I would gladly recommend Dr. Sorokin to any friend or family member."

- Anonymous / RateMDs / Mar 07, 2013

"I am beyond happy that I went to Dr. Sorokin for my Breast Augmentation. All of my experiences with him and his staff have been wonderful. I was seen within less than 5 minutes of arriving each time for an appointment. I am completely happy with my results as he really helped me choose a size that would work right for me and my expectations. I have had no issues at all after my surgery. Choosing the right doctor is the MOST important thing when going in for any surgery. Many girls I spoke to who had the same operation had a much more difficult healing process, complications, or were unhappy with their results - things I did not have to deal with at all. Following my BA I received a Get Well card from him and the entire office staff and a box of chocolate covered pretzels which was really a nice touch. I would recommend Dr. S to anyone looking for the services he provides!"

- Anonymous / RateMDs / Jul 11, 2013

"Dr. Sorokin and his team gave me my self-esteem and confidence back. My Breast Augmentation Revision surgery was a very complex and difficult case that most surgeons wanted nothing to do with. However, Dr. Sorokin was confident from day one that he could significantly improve the appearance and feeling of my breasts and that he did. I am not even four months out and I would be happy if they didn't improve any further, scars and all because that's how improved they are already.
It was an emotional procedure for me as it was my third time around, first with Dr. Sorokin, but he and his team made me feel comfortable, cared for, and encouraged. The women who work there are exceptional at what they do, very pleasant, caring and extremely attentive. One of them even bought a coloring book for my four year old because they ran out of stickers that my little one liked! Talk about indivualized care. They really get to know you and your case. You are a person and not just a number there. I recommend Delaware Plastic Surgery to every and anyone looking to improve their own situations.
An absolutely fantastic experience!!!!
NC"

4.9

Saline VS Silicone

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During the initial consultation with Dr. Sorokin, he will evaluate the medical history and unique needs of each patient to help to make the most satisfying choice between saline and silicone implants. Patients will be able to hold, touch and “try on” the actual implants to get a sense of how they look and feel. There are distinct variations when it comes to saline and silicone.

Saline: Approved for patients age 18 and older, saline implants are filled with a sterile saltwater solution. They are filled with saline after insertion, during surgery, rather than coming in standard prefilled sizes, which allows for a smaller incision. This also allows more flexibility to adjust for small asymmetries from one side to the other. In the event of a rupture, the body naturally absorbs the saline. Saline implants can develop contour rippling when placed above the muscle on thinner patients.

Silicone: Silicone implants are approved for patients age 22 and older. Today's cohesive gel implants are not liquid silicone, but rather a thick gel. Silicone implants feel more like natural breast tissue than saline implants because they do not slush or ripple. Also, silicone implants provide a more natural look and feel for patients who have very little native breast tissue. Dr. Sorokin offers two types of silicone implants. Cohesive silicone gel implants have a stronger shell and thicker gel filling than earlier silicone implants, but they are still soft and pliable. Common brands include Allergan Natrelle® and Mentor MemoryGel®. Form-stable silicone gel implants, also referred to as “gummy bear implants”, are soft, doughy and retain their shape even when cut. These implants are sold under the brands Sientra® Silimed and Allergan Natrelle® 410 shaped implants.

Implant Texture

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Regardless of whether silicone or saline implants are used, the outer covering of the implant, or capsule, will be made of a silicone polymer. The capsule's exterior surface can be either smooth or textured. Because textured implants are thicker, the capsule may be easier to see and feel through the skin in some women. Smooth implants have a more natural look and feel, and are generally more durable.

Profiles and Size

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Often, the most difficult decision for patients is which size implant to select. Dr. Sorokin takes a series of detailed measurements of the chest diameter and the width of the existing breasts. When combined with height, weight, and target breast size, these measurements are vital tools to help patients make a satisfying choice. Patients will evaluate the projection (width and depth) of various implants. A low profile implant is wider and flatter while a high profile implant is narrower and more projected. Also, there are moderate and moderate-plus profiles, which fall in between. Our consultation room offers sizers, before and after photos, and other references to help assist in this very important decision.

Implant Shape

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Dr. Sorokin encourages patients not to dwell only on size, but also to consider how they want the implant to be shaped. Once an implant is placed, shape often can have just as much, if not more of an impact on overall breast appearance and size. Dr. Sorokin provides his patients with suggestions and guidance so that they can select the implant best for them. The two sizes to choose from include round or teardrop.

Implant Positioning

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Dr. Sorokin uses the submuscular placement (under the chest muscle) most often because it typically provides the most natural looking results. The layer of chest muscle on top of the implant conceals the edges of the implant and provides a more natural feel. A subglandular approach is used as well, but not as often. During this approach, the placement of the implant is placed under the breast tissue, but on top of the chest muscle.

Incision Site

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During the consultation, Dr. Sorokin will review the possible incision sites and help to select the best option for each patient’s unique needs and desired outcome. The most common incision approach is the inframammary, which places the incision under the breast, along the breast crease. Another common approach is the periareolar incision, which places the incision along the outside edge of the areola (the dark skin that surrounds the nipple). In some cases, a transaxillary incision is used under the arm in a natural crease of the armpit. The transumbilical approach is the least common used method. The implant is placed through an incision, which is made in the belly button. This incision makes accurate placement of the implant difficult, so Dr. Sorokin rarely uses it.

Keller Funnel™

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The Keller Funnel is a technique used by Dr. Sorokin to help enhance implant placement by compressing the implant so that it can be placed through a smaller incision. Dr. Sorokin uses it for the majority of the breast augmentation procedures he performs with silicone gel implants. The Keller Funnel provides a sterile, "no touch" technique that eliminates contact to the patient's skin and breast tissue, which reduces the risk of infection. The device may even decrease the incidence of capsular contracture.

During Surgery

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Dr. Sorokin performs all breast augmentation procedures on an outpatient basis using general anesthesia at his very own AAAASF certified surgical center. The procedure typically takes between 1 to 2 hours to complete. During surgery, he makes small incisions and creates a pocket for each breast implant. As a breast enhancement specialist, Dr. Sorokin's delicate, meticulous surgical technique minimizes trauma to the breasts and surrounding tissues during surgery.

Recovery

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Dr. Sorokin minimizes recovery time for his breast augmentation patients using a rapid recovery approach to healing, which begins the moment patients exit the operating room. Once home, patients are advised to rest for the first couple of days following surgery and will wear a medical bra to help control swelling. Patients should avoid lifting anything that weighs more than 5 pounds and avoid exercise for about 2 full weeks. The rapid recovery technique used by Dr. Sorokin decreases discomfort, swelling, and the tight feeling patients experience after breast augmentation, the recovery protocol will be discussed in detail during the pre-op phase. By about 6 weeks after surgery, patients are usually back doing their full exercise routines, wearing normal underwire bras, and enjoying their new, beautiful breasts.

Expected Cost

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Cost is an important consideration and we like to present a clear explanation of all costs and fees to our patients during the consultation. For breast augmentation cases, patients can expect to pay between $5,000-$7,000. Silicone implants usually cost about $1,000 more than saline.

Plan Your Procedure

Breast Augmentation FAQs

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Saline or Silicone?

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Dr. Sorokin finds that breast augmentation patients who choose silicone implants are generally more pleased with their natural-feeling results than patients who select saline implants. However, the choice of implant material ultimately is a personal one, and Dr. Sorokin has the skills and knowledge necessary to give you excellent results regardless of whether you choose saline or silicone implants.

Is Silicone Safe?

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Safety concerns should not play a role in the decision between saline and silicone breast implants. Silicone implants have been available continuously since the 1960's. In the early 1990's, the Food and Drug Administration (FDA) asked surgeons to voluntarily limit the use of this type of implant in the majority of breast operations, due to concern that internal leaking of silicone could cause autoimmune and connective tissue diseases. After a decade of silicone implant studies showing no serious adverse health impacts from this type of breast implant, our patients again have this option for all types of breast surgery, including augmentation, reconstruction, and revision. Instead, patients should pay close attention to implant feel and appearance, cost differences, and personal preference when making a decision. Saline implants are less expensive, and offer slightly more options for the location of the incision site. But cohesive silicone gel implants feel more like natural breast tissue, and produce much less visible rippling or wrinkling.

Augmentation or Lift?

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A breast augmentation increases the size of the breasts, but a breast lift will improve breasts that sag. Dr. Sorokin will discuss the benefits of breast augmentation and lifts during the initial consultation, then he will help the patient decide if an augmentation, lift, or both are the best surgery for the patient’s needs and goals.

Risk of Rupture?

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Modern implants are created with advanced technology to make them strong and durable. The risk of a rupture is small, but patients should follow Dr. Sorokin’s care instructions for the implant and receive routine MRIs to monitor for ruptures in silicone implants. If a saline implant ruptures, the interior of the implant will be naturally absorbed into the body, but the outer capsule will remain. Silicone implants are made from a cohesive gel that will stay in the breast and not leak into the rest of the body. The risk of capsular contracture can be minimized by placing implants under the pectoral muscle, and by following a daily breast massage regimen that helps to minimize hardened tissue formation

How Long Do They Last?

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Most patients have their implants for 10 – 15 years, but they can last longer as long as there is no damage, such as rippling, deflation, or leakage. Implants can be removed or repaired at any time.

Correcting Asymmetry?

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Most women have breasts that are naturally asymmetrical, although the degree can vary. Severe cases of asymmetry can be improved with breast implants. Some breasts are not only asymmetrical in size but also asymmetrical in shape and will require a breast lift in order to obtain better symmetry.

A Natural Result?

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Time and time again, Dr. Sorokin hears the same concern from his patients: breast implants look obvious and unnatural. If this is an important consideration for you, as it is for many, Dr. Sorokin offers the tools and training necessary to achieve an enhanced look that delivers exactly what you expect. Dr. Sorokin provides thoughtful guidance when suggesting breast implants for his patients at his New Jersey office. With his expert advice, patients navigate smoothly through the maze of options and achieve their desired results.